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Village Permit No 1665 <br />Contractor Address i'� �'%�6 <br />Addressn4ln xP d <br />State License No <br />Parcel No. <br />Section No <br />Plat No. <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date r _ �f 7 <br />Lot_--_ Block Subdivi,ion-- <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable thereto. and shall inchide all additional specifications as listed below. <br />Install plumbing systems: <br />ansta SC,wa;e disposal systems: <br />Repair <br />Install <br />water supply system,: <br />Repair <br />cc <br />Fee $ <br />Fee $ _ <br />Fee $_____ <br />Total amount paid to Village.... $_ --- <br />Signature of applicant <br />Signature of Village Official <br />JV <br />